Individual
MRS. LAURA MARIE HOTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1465 S GRAND BLVD, 01 OFFICE ROOM #2730, SAINT LOUIS, MO 63104-1003
(314) 577-5647
(314) 268-2775
Mailing address
1465 S GRAND BLVD, 01 OFFICE ROOM #2730, SAINT LOUIS, MO 63104-1003
(314) 268-2700
(314) 268-2775
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
019009
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
2001019009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427362207
—
MO
Enumeration date
12/09/2005
Last updated
01/18/2021
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